MR. ELIZABETH ANNE SULLIVAN (NPI# 1518378967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518378967 |
| Entity Type | Individual |
| Full Name | MR. ELIZABETH ANNE SULLIVAN |
| Practice Address |
615 N 4th Ave Durant OK 74701-3907 |
| Practice Telephone | 5807753083 |
| Mailing Telephone | 5807753083 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NEW | OK | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947693 | Elizabeth Sullivan | Registered Nurse | 3001 Telegraph Ave Apt 301, Berkeley, CA 94705-2164 | 2020-09-21 |
| 1528445020 | Elizabeth Sullivan | Registered Nurse | 21 Lawrence Hill Rd, Huntington, NY 11743-3113 | 2015-05-04 |
| 1164773479 | Elizabeth Ann Sullivan | Case Manager/Care Coordinator | 14 Cat Ridge Rd, North Salem, NY 10560-3300 | 2012-09-26 |
| 1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
| 1629362645 | Elizabeth Ann Sullivan | Nurse Practitioner | 3915 Sherman Ave, Saint Joseph, MO 64506-3649 | 2011-06-07 |
| 1528262748 | Elizabeth A Sullivan | Counselor | 3012 Travis Ct, Midland, MI 48642-3969 | 2007-06-12 |
| 1265581631 | Elizabeth Ann Sullivan | Social Worker | 8245 20th Ave Ne, #4, Seattle, WA 98115-4407 | 2007-01-09 |
| 1881767614 | Elizabeth W Sullivan | Physical Therapist | 229 Saluda Springs Rd, Lexington, SC 29072 | 2006-11-17 |
| 1376655837 | Elizabeth A. Sullivan | Nurse Practitioner | 16268 Bennett Road, Uva Primary Care - Locust Grove, Culpeper, VA 22701 | 2006-08-31 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| Street Address |
615 N 4TH AVE |
| City | DURANT |
| State | OK |
| Zip Code | 74701-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427897 | Cody Tyson Whatley | Student in an Organized Health Care Education/Training Program | 8725 Anaum Ln, Yukon, OK 73099-3868 | 2020-11-08 |
| 1366043044 | Marielle Crowell | Student in an Organized Health Care Education/Training Program | 700 Nw 51st St, Oklahoma City, OK 73118-6216 | 2020-11-08 |
| 1801497672 | Colton Want | Student in an Organized Health Care Education/Training Program | 833 San Simeon Dr, Edmond, OK 73003-5943 | 2020-11-06 |
| 1952902736 | Brandon Talaro Schmidt | Student in an Organized Health Care Education/Training Program | 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 | 2020-11-06 |
| 1710588694 | Hayden Mackenzie Bryan | Student in an Organized Health Care Education/Training Program | 1425 Nw 29th St, Oklahoma City, OK 73106-3433 | 2020-11-05 |
| 1548861560 | Cruz Mccarty | Student in an Organized Health Care Education/Training Program | 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 | 2020-11-05 |
| 1114528247 | Bradley Taylor | Student in an Organized Health Care Education/Training Program | 808 Carter St Se, Ardmore, OK 73401-8524 | 2020-11-04 |
| 1700487279 | Christopher Michael Hoover | Student in an Organized Health Care Education/Training Program | 1508 Ne 25th St, Moore, OK 73160-8992 | 2020-11-02 |
| 1063013530 | Thomas Labarthe | Student in an Organized Health Care Education/Training Program | 2833 Nw 67th St, Oklahoma City, OK 73116-4612 | 2020-11-02 |
| 1255931739 | Parker Grant Allan | Student in an Organized Health Care Education/Training Program | 5126 E 104th Pl, Tulsa, OK 74137-6082 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.